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If you have PCOS and feel like losing weight is harder for you than it is for everyone else, there may be physiological reasons worth investigating. One of the biggest frustrations I hear from women with PCOS is that they’re constantly being told to eat less and exercise more. But PCOS is not simply a reproductive condition. For many women, it also involves metabolic changes that can influence appetite, insulin regulation and weight management. Let’s start with insulin resistance. Insulin is a hormone produced by the pancreas that helps move glucose from the bloodstream into cells, where it can be used for energy. When tissues become less responsive to insulin, the pancreas often compensates by producing more. This can result in higher circulating insulin levels, even when fasting glucose is still within the normal range. And insulin doesn’t just regulate blood glucose. It also influences fat storage and the release of stored energy. Higher insulin levels promote energy storage and temporarily suppress lipolysis, the process through which stored fat is broken down. But this doesn’t mean insulin resistance makes weight loss impossible or that insulin alone determines body weight. Energy balance still matters. The important question is what might be influencing that balance. For some women with PCOS, appetite regulation is another significant consideration. Some experience persistent hunger, increased cravings or difficulty feeling satisfied after meals. Research has investigated differences in appetite-regulating hormones, including ghrelin and GLP-1, in women with PCOS, although findings vary and these changes don’t occur in everyone. Sleep disruption and stress can further influence hunger, food choices and metabolic regulation. So when someone is struggling with constant hunger, simply telling them to exercise more discipline isn’t addressing the entire picture. There is also an important relationship between insulin and reproductive hormones. Higher insulin levels can stimulate ovarian theca cells to produce more androgens. Insulin can also reduce the liver’s production of sex hormone binding globulin, or SHBG. Lower SHBG can mean more testosterone remains biologically available. This may contribute to symptoms such as acne, excess facial or body hair and disrupted ovulation. So the metabolic and reproductive features of PCOS can influence one another. But here’s something I want to emphasise. Not every woman with PCOS has insulin resistance. And not every woman struggling with weight has difficulty because of PCOS. This is why I don’t automatically attribute someone’s weight concerns to their diagnosis. I also want to consider thyroid function, medications, dietary intake, sleep, physical activity, stress, perimenopause and other medical or metabolic factors. And when weight loss is an appropriate goal, the answer isn’t necessarily more aggressive calorie restriction. Severely restricting food intake can make it difficult to consume enough protein, fibre and essential micronutrients, while also making a dietary approach harder to sustain. Instead, I want to understand what is happening physiologically and build a sustainable strategy around that. This might include improving dietary quality, prioritising adequate protein and fibre, resistance training, regular movement, sleep support and addressing insulin resistance where present. Some women may also benefit from medical treatment for metabolic or weight-related concerns. The goal is not to assume every woman with PCOS needs the same diet, supplement or weight loss strategy. Two women can have the same diagnosis and very different metabolic profiles. At Nourishing Apothecary, our naturopaths work with women navigating PCOS, hormonal imbalances and metabolic concerns. We offer individualised consultations Australia wide via Zoom. You can book a free discovery call to find the right practitioner for you. www.nourishingapothecary.com #PCOS #PCOSWeightLoss #InsulinResistance #HormonalHealth #Naturopath

If you have PCOS and feel like losing weight is harder for you than it is for everyone else, there may be physiological reasons worth investigating. One of the biggest frustrations I hear from women with PCOS is that they’re constantly being told to eat less and exercise more. But PCOS is not simply a reproductive condition. For many women, it also involves metabolic changes that can influence appetite, insulin regulation and weight management. Let’s start with insulin resistance. Insulin is a hormone produced by the pancreas that helps move glucose from the bloodstream into cells, where it can be used for energy. When tissues become less responsive to insulin, the pancreas often compensates by producing more. This can result in higher circulating insulin levels, even when fasting glucose is still within the normal range. And insulin doesn’t just regulate blood glucose. It also influences fat storage and the release of stored energy. Higher insulin levels promote energy storage and temporarily suppress lipolysis, the process through which stored fat is broken down. But this doesn’t mean insulin resistance makes weight loss impossible or that insulin alone determines body weight. Energy balance still matters. The important question is what might be influencing that balance. For some women with PCOS, appetite regulation is another significant consideration. Some experience persistent hunger, increased cravings or difficulty feeling satisfied after meals. Research has investigated differences in appetite-regulating hormones, including ghrelin and GLP-1, in women with PCOS, although findings vary and these changes don’t occur in everyone. Sleep disruption and stress can further influence hunger, food choices and metabolic regulation. So when someone is struggling with constant hunger, simply telling them to exercise more discipline isn’t addressing the entire picture. There is also an important relationship between insulin and reproductive hormones. Higher insulin levels can stimulate ovarian theca cells to produce more androgens. Insulin can also reduce the liver’s production of sex hormone binding globulin, or SHBG. Lower SHBG can mean more testosterone remains biologically available. This may contribute to symptoms such as acne, excess facial or body hair and disrupted ovulation. So the metabolic and reproductive features of PCOS can influence one another. But here’s something I want to emphasise. Not every woman with PCOS has insulin resistance. And not every woman struggling with weight has difficulty because of PCOS. This is why I don’t automatically attribute someone’s weight concerns to their diagnosis. I also want to consider thyroid function, medications, dietary intake, sleep, physical activity, stress, perimenopause and other medical or metabolic factors. And when weight loss is an appropriate goal, the answer isn’t necessarily more aggressive calorie restriction. Severely restricting food intake can make it difficult to consume enough protein, fibre and essential micronutrients, while also making a dietary approach harder to sustain. Instead, I want to understand what is happening physiologically and build a sustainable strategy around that. This might include improving dietary quality, prioritising adequate protein and fibre, resistance training, regular movement, sleep support and addressing insulin resistance where present. Some women may also benefit from medical treatment for metabolic or weight-related concerns. The goal is not to assume every woman with PCOS needs the same diet, supplement or weight loss strategy. Two women can have the same diagnosis and very different metabolic profiles. At Nourishing Apothecary, our naturopaths work with women navigating PCOS, hormonal imbalances and metabolic concerns. We offer individualised consultations Australia wide via Zoom. You can book a free discovery call to find the right practitioner for you. www.nourishingapothecary.com #PCOS #PCOSWeightLoss #InsulinResistance #HormonalHealth #Naturopath

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