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Effective Strategies to Lose Weight with PCOS (Polycystic Ovary Syndrome)

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Polycystic Ovary Syndrome (PCOS) is a hormonal disorder affecting millions of women worldwide, often leading to weight gain and difficulty losing weight.

Due to insulin resistance, hormonal imbalances, and inflammation associated with PCOS, losing weight can be particularly challenging. However, with the right strategies, it’s not only possible but also critical for managing PCOS symptoms and improving overall health.

This article explores effective weight loss strategies tailored for those with PCOS. From dietary changes and exercise routines to lifestyle adjustments and targeted supplements, we cover science-backed approaches that can help you manage weight while addressing the unique challenges of PCOS.

Last Updated:
September 12, 2024
Paper written by:
Dr. Emanuel Paleco, PhD

Key Takeaways

  • PCOS is a hormonal imbalance that can lead to weight gain and difficulty losing weight.
  • Adopting a PCOS-friendly diet and exercise routine can significantly improve weight management.
  • Certain supplements may help address the underlying causes of PCOS-related weight struggles.
  • Stress management is crucial for individuals with PCOS, as it can impact weight and overall health.

Understanding PCOS and Weight Challenges

Polycystic Ovary Syndrome (PCOS) is a common hormonal condition that affects roughly 1 in 10 women of reproductive age. It’s characterised by hormonal imbalances and the presence of small cysts on the ovaries.

One of the main challenges with PCOS is insulin resistance, which affects around 35-80% of those with the condition. Insulin resistance can contribute to increased fat storage and make it harder to lose weight, which is why many people with PCOS struggle to maintain a healthy weight.

How PCOS Affects Weight

The hormonal imbalances and metabolic factors associated with PCOS can significantly impact weight management. Women with PCOS often struggle with the following weight-related challenges:

  • Increased insulin resistance, which can lead to weight gain and difficulty losing weight
  • Higher levels of androgens (male hormones), which can contribute to abdominal weight gain
  • Disrupted ovulation, which can further exacerbate hormonal imbalances and weight-related issues
  • Increased risk of developing type 2 diabetes, which is closely linked to weight gain and obesity

These factors make it more difficult for women with PCOS to lose weight and maintain a healthy weight, even with diet and exercise. Understanding the unique weight challenges associated with PCOS is the first step towards developing effective strategies for managing the condition and achieving sustainable weight loss.

Key Diet Tips for PCOS Weight Loss

Sustainable weight loss can be particularly difficult for those with PCOS, a hormonal condition often linked to symptoms like irregular periods, excessive facial and body hair, and challenges with losing weight.

However, adopting a balanced, nutrient-dense diet is a powerful approach for managing PCOS and supporting healthy weight loss.

Best Foods to Include

To effectively manage PCOS and support weight loss, it’s important to focus on nutrient-dense foods that help balance hormones, regulate blood sugar, and reduce inflammation. Here are some of the best foods to include in your diet:

  • Whole, Unprocessed Foods: Focus on a diet rich in vegetables, fruits, whole grains, lean proteins, and healthy fats. These foods provide essential nutrients while helping to stabilise blood sugar and reduce inflammation.

  • High-Fibre Foods: Incorporate plenty of leafy greens, berries, lentils, chia seeds, and other high-fibre options. Fibre helps regulate blood sugar levels by slowing down the absorption of carbohydrates, while also promoting satiety and gut health.

  • Lean Protein Sources: Include protein-rich foods like chicken, turkey, fish, eggs, and legumes to support muscle mass, improve metabolism, and keep you full longer. Protein is essential for balancing blood sugar and promoting consistent energy levels.

  • Healthy Fats: Add sources of healthy fats such as avocados, nuts, seeds, and olive oil. These fats play a key role in hormone regulation, reduce inflammation, and enhance nutrient absorption, all of which are important for managing PCOS symptoms.

Foods to Avoid

To better manage PCOS symptoms and support weight loss, it’s important to be mindful of certain foods that can negatively impact hormone balance and blood sugar levels. Here are some key foods to avoid:

Foods to Avoid

  • Refined carbohydrates, such as white bread, pastries, and sugary snacks, which can spike blood sugar and contribute to insulin resistance.
  • Processed and fried foods that are high in unhealthy fats and additives.
  • Sweetened beverages, including soda and fruit juices, which are high in added sugars.

By focusing on a balanced diet rich in nutrient-dense whole foods and limiting the intake of processed, high-carbohydrate items, many women with PCOS can see significant improvements in managing their weight, regulating hormones, and enhancing overall health.

Exercise Strategies for PCOS

Staying active is a powerful way to tackle the weight challenges that come with polycystic ovary syndrome. While losing weight might be slower for women with PCOS, regular exercise can still bring noticeable improvements and help manage symptoms.

Recommended Exercises

For effective weight management, it’s important to include a mix of exercises. A balanced approach can make all the difference:

  • Cardio Activities: Exercises like brisk walking, jogging, cycling, or swimming are great for heart health and burning calories.
  • Strength Training: Incorporating weightlifting or resistance exercises helps build muscle, which in turn boosts metabolism. Recent studies have found that people who complete just 30 to 60 minutes a week of strength training had a 10% to 20% lower risk of dying from cancer and heart disease specifically. 
  • Flexibility and Balance: Yoga, Pilates, or other flexibility-focused routines help enhance stability, reduce stress, and improve overall body control.

Starting an Exercise Routine

Starting a new exercise routine can be tough, especially if weight management has been challenging. Begin slowly and gradually increase the time and intensity of your workouts.

Aim for at least 30 minutes of moderate activity most days, or 150 minutes weekly. Remember to listen to your body and adapt your routine as needed to find what feels best for you.

By sticking to a consistent, varied exercise plan, you can take meaningful steps towards better managing PCOS symptoms while supporting your overall health and well-being.

Supplements and PCOS Weight Loss

While lifestyle changes are the cornerstone of effective weight management, certain PCOS supplements may offer additional benefits. Some supplements have shown promising results in improving insulin sensitivity, a key factor in PCOS-related weight struggles.

Effective Supplements for PCOS

  • Inositol: A B-vitamin-like compound, inositol has been well-studied for its role in improving insulin function and promoting weight loss in women with PCOS.
  • Berberine: A plant-based compound, berberine has demonstrated benefits in enhancing insulin sensitivity and supporting weight management for those with PCOS.
  • Alpha-Lipoic Acid: This antioxidant can further aid in improving insulin sensitivity, helping to address one of the core metabolic challenges in PCOS.
  • Probiotics: By promoting a healthy gut microbiome, probiotics may assist with weight management and improve metabolism, both of which can be beneficial for individuals with PCOS.

It’s important to remember that supplements should complement—not replace—a well-rounded approach to managing PCOS, which includes a balanced diet, regular exercise, and stress management.

Always consult your healthcare provider before adding new supplements, as research on their effectiveness for PCOS is still ongoing.

Managing Stress for Better Weight Control

Managing PCOS can be challenging, and stress is a significant factor that often complicates weight control. Stress is closely linked to hormonal imbalances and can interfere with your body’s ability to manage blood sugar levels and maintain a healthy weight.

Stress and Weight Gain

Chronic stress triggers the release of cortisol, a hormone that can lead to insulin resistance and weight gain, especially around the abdominal area. This is particularly concerning for women with PCOS, who already face difficulties with weight management.

Additionally, stress can increase inflammation, which can worsen PCOS symptoms and make weight loss even harder. Learning to manage stress effectively is a crucial step toward better health and more successful weight control.

Effective Stress Management Techniques

  • Engage in Regular Exercise: Activities like yoga or gentle workouts can help reduce stress and promote relaxation.
  • Spend Time in Nature: Being outdoors has a calming effect and can help lower stress levels.
  • Practice Mindfulness: Techniques like meditation can improve your response to stress and help you stay grounded.
  • Prioritise Enjoyable Activities: Making time for hobbies and activities you love can bring balance and boost overall well-being.

Incorporating these stress-reducing practices into your routine can make a big difference in your ability to manage weight and support your overall health in the long run.

Common Myths About PCOS Weight Loss

When it comes to managing weight with PCOS, there are plenty of myths that can hold people back. Clearing up these misconceptions is key to focusing on proven strategies for sustainable weight management.

Let’s break down some of the most common myths and the facts that set the record straight.

Myth: PCOS Makes It Impossible to Lose Weight

While PCOS can make weight loss more challenging due to hormonal imbalances and insulin resistance, it doesn’t make it impossible.

Many women with PCOS can reach their weight goals with the right combination of a balanced, nutrient-dense diet and regular physical activity. It might take more time and patience, but weight loss is achievable.

Myth: There’s Only One "Best" Diet for PCOS

There’s no single diet that works for everyone with PCOS. The most effective approach is to find a diet that suits your individual needs, preferences, and lifestyle.

Working with a registered dietitian can help you create a personalised plan that supports your goals. Different low-glycemic diets, for example, have shown positive results for many people with PCOS.

Diets focused on whole foods, balanced macronutrients and mindful carbohydrate intake can improve insulin sensitivity and promote steady energy levels, making weight management more achievable. The key is finding a plan that’s sustainable and fits into your daily life.

Myth: Weight Loss Drugs Are the Only Effective Solution

Medication can be part of a treatment plan for some people with PCOS, but it’s not the only option. Lifestyle changes, like eating a healthy diet and staying active, are often very effective in managing weight and improving symptoms. Many people see significant benefits without needing prescription drugs.

By dispelling these myths, individuals with PCOS can focus on realistic, evidence-based strategies that lead to better health and sustainable weight management.

When to Seek Professional Help

If you have polycystic ovary syndrome (PCOS) and are finding it tough to manage your symptoms or achieve weight loss, professional guidance might be the support you need.

PCOS is linked to hormonal imbalances that can lead to:

  • Weight gain
  • Irregular periods 
  • Excess hair growth
  • Increased risk of conditions like type 2 diabetes and heart disease

Working with a registered dietitian or nutritionist who specialises in PCOS can be incredibly beneficial. They can tailor a diet and lifestyle plan to your needs, offering advice on managing insulin resistance, balancing blood sugar, and choosing the right foods.

It’s also important to check in regularly with your healthcare provider—like an endocrinologist or gynaecologist—who can evaluate your symptoms and recommend treatment options if necessary. This might involve supplements such as inositol to improve insulin sensitivity or other therapies to address hormonal imbalances.

Combining a nutritious diet, consistent exercise, and expert support can make a significant difference in managing PCOS and achieving your health goals. Don’t hesitate to reach out for the help you need to take control of your well-being.

Before you go...

Achieving and maintaining a healthy weight can be challenging for individuals with PCOS due to the hormonal and metabolic factors associated with the condition.

However, a combination of lifestyle interventions, including a balanced, nutrient-dense diet, regular exercise, stress management, and potentially the use of targeted supplements, can be effective in supporting PCOS weight loss and improving overall health outcomes.

Whether you are struggling with symptoms of polycystic ovary syndrome, experiencing difficulty losing weight, or simply seeking to maintain a healthy weight, it is crucial to work closely with healthcare professionals to develop a personalised plan that addresses your unique needs and challenges.

With the right treatment option and a commitment to a healthy lifestyle, many PCOS women can successfully manage their weight and improve their overall well-being.

Read More

About Institute of Medical Physics

The Institute of Medical Physics, founded by Dr. Emanuel Paleco, is a leader in Medical and Aesthetic Laser Science, with a flagship clinic in King's Cross and additional locations throughout North London and Essex. We are committed to delivering innovative treatments that prioritise your health and well-being.

Our signature Inositol formula combines Myo-Inositol and D-Chiro-Inositol in a scientifically validated 40:1 ratio, ensuring peak effectiveness. Enhanced with Îą-Lactalbumin for superior absorption, along with L-Methylfolate, Chromium, and KSM-66 Ashwagandha, this formula offers comprehensive support for your overall health.

At the Institute of Medical Physics, we focus on advancing your wellness through expert care and scientifically-backed solutions.

FAQs

What is polycystic ovary syndrome (PCOS)?

Polycystic ovary syndrome (PCOS) is a condition involving hormonal imbalances and the development of small cysts on one or both ovaries. It is associated with irregular periods, insulin resistance, and weight gain.

How does PCOS affect weight and weight loss?

The hormonal imbalances and metabolic factors associated with PCOS can make it more difficult for affected individuals to lose weight and maintain a healthy weight. Insulin resistance, a key feature of PCOS, is linked to increased body fat and weight gain.

What dietary changes can help with PCOS weight loss?

A balanced, nutritious diet that is low in inflammatory foods, such as refined carbs and highly processed foods, and rich in whole foods, protein, healthy fats, and fibre may aid weight loss for people with PCOS.

What types of exercise are recommended for PCOS weight loss?

Recommended exercises for PCOS include a combination of aerobic activity, strength training, and activities that promote flexibility and balance. While people with PCOS may lose less fat than those without the condition, exercise can still result in loss of belly fat and improvements in insulin sensitivity.

Can supplements help with PCOS weight loss?

Certain supplements, such as inositol may help improve insulin sensitivity and support weight management in PCOS. Probiotics may also be beneficial by supporting healthy gut bacteria. It's important to discuss any supplement use with a healthcare provider.

Date First Published:
September 12, 2024
Our Research is Led by Dr. Emanuel Paleco World Renowned Biophysicist
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Dr. Emanuel Paleco, PhD

September 12, 2024

Institute of Medical Physics