Insulin resistance lean pcos reddit

I've had PCOS my entire life, my cycles are around 5 months each, though there have been periods when they were shorter (unfortunately, I did not pay attention to the factors that could have contributed to that). Hi all, I never post on these forums but wanted to share that taking 2 tablespoons of flaxseed daily (with applesauce or yogurt or oatmeal) regulated my periods for lean PCOS. Normal glu, insulin, a1c, and HOMA-IR but elevated testosterone and used to have elevated DHEA-S. The gynaecologists assumed that I have PCOS becuase of polycystic ovaries on ultrasound and also my LH and FSH ratio is higher than women without PCOS. However, as you have heard from many people at this point, unbalanced sex hormones and elevated DHEA-S/testosterone can have several underlying causes which have nothing to do with insulin. My blood sugar levels were fine on tests but I was prescribed metformin and the way I experience hunger is totally different now. A1C always normal but never Spookiecookie28. And myo-inositol has been studied enough to recommend its use. Im not sure of the exact mechanism of action (not sure if anyone is tbh!). In other words, you can eat: meat, eggs, dairy, nuts, sugar-free foods (like sugar-free jam or sugar-free pudding or sugar-free jello), tons of veggies, berries, kiwifruit. 135K subscribers in the PCOS community. But I cant really understand how this works for someone… Non-Insulin-Resistant PCOS Irregular cycles. Casein can be highly inflammatory and whey is super insulin spiking. Unfortunately, it sometimes makes the underlying driver of the PCOS (usually insulin resistance) worse in some people. settled on lean-PCOS insulin resistance…. I am doing my best to avoid carbs and prioritize protein and veggies especially since my bf is a severe diabetic himself. 15 votes, 23 comments. Only if you are either prediabetic 20K subscribers in the TTC_PCOS community. Good luck! ETA: in my experience doctors are absolutely shit at the insulin resistance part of a PCOS diagnosis. I’m gonna give it up to 6 months before I decide if it doesn’t work for me. In non lean pcos keto can resolve a large amount of the symptoms but with lean it only resolves the issue of 'excess testosterone' which is a piece of the puzzle. However, I believe “lean PCOS” is more concerned with the adrenal glands than insulin resistance. Everyone here is very helpful and nice, and I sincerely hope that we… I have lean PCOS without insulin resistance (per 2 he glucose challenge)and my naturopath is having me try ovasitol 2000mg myoinositol and 80mg D chiro inositol. It’s a darkening of the skin usually under your arms, inner thighs or behind your neck. So I would love advice and help. I am also brought up vegetarian. Reactive hypoglycemia is common with PCOS and it should be catalyst for change. In the beginning stages of insulin resistance your glucose levels will not be able show your insulin levels. I theorize from what I’ve read that lean pcos tends towards inflammation type over insulin type but certainly can be both. My sister also has lean PCOS and her insulin is stellar, so there's something clearly going on with us that I think is worth exploring. So maybe berberine is curing your IR and making you crave less food. The pill can also worsen insulin resistance over time as well. I don’t tolerate fat as well. Get app My insulin was 4 fasting glucose 99 A1C 5. Organ meat is a real superfood. it took a few months for me, but I actually started to feel feminine again. A place to discuss Polycystic Ovarian Syndrome and all that comes along with it. remember the "normal" ranges given for bloodwork are just statistical aggregates-- what's seen in the population. I run 3-4 miles 2-3 times per week and do HIIT 2-3 times per week. My periods were incredibly irregular before I went on the pill (one time I went a year without a period) and I had cysts and bad acne. If I’m not overweight or have insulin issues, would the low carb diet still make a difference for me? Posted by u/Headuppl - 1 vote and 2 comments Also not diagnosed with insulin resistance as haven't been tested. but you are young, usually when you have pcos all these clinical pictures come later while you're aging towards 30 and above, pcos tends to get at peak level of its Sort by: wenchsenior. • 3 yr. Reply reply. I don't have hirsutism, though my testosterone levels are Hello everyone! First of all let me tell you that I truly love this sub so much. 39 uU/mL. 70% of people with PCOS have insulin resistance but not all. It’s supposed to aid in combatting insulin resistance. Till recently, there was an ongoing debate regarding the previously mentioned characteristics; in addition, the existing management options are mostly not appropriate for We talk a lot about insulin resistance on this sub because it is the most common PCOS phenotype. What to actually do about insulin resistance? Diet - Not Keto. UK based - my gynae told me if I have PCOS I must have since degree of insulin resistance. 43. having high testosterone means there is too much insulin at some point in your metabolic process. Glucose levels overr 140 can lead to permanent damage. -after childbirth symptoms of PCOS subside temporarily, almost like a reset on the body. I’m 22 and was diagnosed with PCOS about 3 years ago. I supplement now with Vit D and K2. I have lean PCOS and am on metformin. I have normal BMI, no elevated androgens, high AMH (15), likely subclinical insulin resistance Did you take meds to prevent miscarriage (metformin, prednisone, etc. The vast majority of people here have tried inositol at some point. Without the IR, your hormones can rebalance and stop causing so much cyst-problem. This is why either keto or low carb works but Keto isn't necessary. General Health Lean PCOS and jacked with Yes. It contains heavy doses of B vitamins such as: B1, B2, B6, folic acid and the very important vitamin B12, all of which Posted by u/taurusun - 8 votes and 15 comments A place to discuss Polycystic Ovarian Syndrome and all that comes along with it. Open menu Open navigation Go to Reddit Home. TL;DR Looking for reviews/experiences with Slynd (Drospirenone 4mg, POP) as a treatment for PCOS, specifically the subset of PCOS characterized by dysfunction of GnRH, high LH, and adrenal hormones (high testosterone and cortisol). This was accomplished by counting calories and reducing how The connection with insulin resistance was not fully established until the 1990s though, based on the medical literature. However, I found the cause of my insulin resistance was actually a byproduct of an autoimmune issue (hence why I didn’t have the typical PCOS issues like weight gain). Most cases of PCOS (thin or overweight) are driven by IR. -working out more escalates PCOS symptoms (less frequent periods, more breakouts, etc) -mental health / prone to have anxiety. For others, some hormonal disturbances remain but they are generally improved. So if anyone has ever taken Ovasitol powder, please met me know if it actually helped sensitive your body to insulin. I am assuming insulin resistance is my issue with my pcos. I just read a study about the correlation between low Vit D and insulin resistance, which is interesting because when I believe this really started, my Vit D was in the single digits. Insulin resistance is a symptom, but isn't required for a PCOS diagnosis, same as things like excess body hair or difficulty losing weight. I'm happy to share what I've tried if it's helpful. Though it is a gradual process, if you catch it early, is it easier to reverse? If you are more lean, is it easier to reverse than a heavier person? What factors influence how easy it is to reverse it? Yes, reactive hypo stemming from insulin resistance. However, my a1c is 5. I’m same as you. Everything I've read states that even lean pcos people have some sort of insulin resistance. g. When I was in my lowest, my homa was 3,8 and over 1,9 is already insulin resistant. Ovulation is also much more regular with it too in march this year, i was diagnosed with insulin resistance, 2 mutated enzymes and was almost immediately put on ozempic. Hence why many people with this kind of PCOS are thin. GameStop Moderna Pfizer Johnson & Johnson AstraZeneca Walgreens Best Buy Novavax SpaceX Tesla. Doctors really don't know how to test well for insulin resistance and blood sugar issues with PCOS. The only other supplement I take for IR specifically is cinnamon in capsules - it's an anti inflammatory and it's good for balancing blood sugar. Hi! I am lean, have pcos, insulin resistance and dheas are all over the place. Hello everyone, I have been dealing with PCOS symptoms for over 10 years now. Even within the Paleo diet there are super-foods that women with PCOS should consume on a regular basis. I asked my clinic if Metformin could help egg quality and initially the nurse said she thought it could, but then the doctor advised against it because I do not have insulin resistance and did not prescribe. Making many of women with PCOS have a difficult time dropping weight. The signs above are nothing to ignore. Other studies that support this- metformin actually works Better at regulating periods in women with lean pcos then it does non-lean pcos. The homeostasis model assessment (HOMA)-M 120 resulted as a very simple tool, validated specifically for lean women with PCOS whose cardiometabolic impairment is more frequently misunderstood. 20K subscribers in the TTC_PCOS community. Crypto ”Lean women populations with PCOS are a unique group and have different phenotypic, metabolic, hematologic, and neurologic characteristics than obese participants with PCOS. I have been relatively lean my whole life and it genuinely didn’t occur to me that I could have insulin resistance until I got more into this thread. Yes, absolutely. I wish we had better options and an understanding of what's happening. C-peptide can also indicate issues with insulin metabolism. New_WRX_guy. I’ve done a lot of reading about the different pcos types. • 4 yr. I've had lean PCOS driven by IR for my entire life, and not once in the last 25+ years of testing have I had abnormal fasting glucose or A1C, and even when my Community for those affected by the lean type of PCOS What is lean PCOS? When you have a normal (or underweight) BMI but still have PCOS. Yes, the pill doesn't treat insulin resistance and insulin resistance is thought to be the main driver of PCOS. Your blood sugars drop and then the excess insulin stimulates the production of testosterone, causing PCOS high triglycerides are a sign of insulin resistance. It can be taken and is useful esp if you have insulin resistance driving the PCOS (as most people do). Fatigue, severe heat sensitivity, stubborn belly fat, oily facial skin and scalp, acne, hirsutism, never feeling satisfied after meals even after getting stuffed, irregular and painful periods, and anxiety. Insulin resistance should be assessed in all women with PCOS, both lean and obese participants. And IR is what causes our cravings or pseudo hunger signals to go out of whack. However, a small subset of people do develop PCOS with no IR. To me insulin resistance is so confusing. This is a supportive community for people trying to conceive with PCOS. It likely won’t hurt, but if it works, you probably have undiagnosed insulin resistance. When I was diagnosed with PCOS I had severe symptoms plus severe reactive hypoglycemia. And yes, I've been eating a low glycemic diet for decades, since shortly after I was diagnosed with PCOS. There’s no point in being on a supplement to treat a symptom or issue you don’t have! Vote. I am assuming everyone who has it, has it differently from the other person. Besides what others have said as far as blood work - another sign of insulin resistance is Acanthosis nigricans. , excess uterine lining resulting from Absolutely. hyperinsulinemia is . She taught me to eat to balance my blood sugar. 2. Treating my IR put my PCOS into long term remission. Cured my insulin resistance! My IR has gone down to 0. Insulin resistance is thought to be responsible for the hormonal and metabolic There is a glucose tolerance test you can do at an endocrinologist, where they give you a glucose solution to drink and then draw blood one and two hours later. your testosterone is also quite high compared to where it typically is in healthy women. I was diagnosed via blood test, I measured my fasting glucose, but also my insulin and they calculated my HOMA IR. Only if you are either prediabetic alicemonster. A study looking at insulin resistance in obese women, obese women with pcos, normal bmi women with pcos, and normal bmi women without pcos found normal bmi women with pcos do have insulin resistance. It's a syndrome (which is essentially a cluster of similar symptoms with no known cause) that likely has multiple causes (inflammation, sympathetic overdrive, and cortisol are a few others that I've seen some small studies mention). Editing to add, it's managed my insulin resistance to prevent possible weight gain and it inhibits fat storage from the abdomen area. None of my information came from tiktok as I don't even have that on my phone but there are respected studies showing the connection. • 2 mo. Period. Sounds like you have two of the three qualifying characteristics. 133K subscribers in the PCOS community. For some people (like me) treating the IR puts the PCOS into remission. I am thin, 25F, but these are my bad symptoms (I have no deficiencies so I assume these are all from my PCOS) -extreme chronic fatigue. 7. •. I had to do a 2 hour glucose test because of that. • 5 mo. Despite this sub continually saying insulin resistance is the source of PCOS - the etiology of it is still unknown. I've managed it otherwise with diet - that can be trickier because you'll need to find something sustainable for you that of course works for any food allergies you might have or lifestyle you may So uh you do have some insulin resistance because you have polycystic ovarian syndrome, but you don't have severe insulin resistance to show itself clinically in your appearance. I have trouble with insulin resistance, as I’m prediabetic. 12 votes, 32 comments. This… insulin is the hormone that triggers ovarian testosterone production. o. I have recenlty checked my insulin restistance on 2-hour fasting glucose tolerance test and was normal. I’m 5’5 and weigh about 119 pounds. as it seems you've already realized, a lot of your other experiences managing these symptoms also point to dysregulated insulin metabolism. Here's all I take: DIM plus Calcium d-Glucorate for Estrogen (I'm back in estrogen dominance after the burnout of 2021), EGCG for Testosterone, Chaste Tree Berry for Progesterone, Vitamin D, Berberine for insulin resistance. No idea how high it was when I first started taking Metformin for it. A lot of people here claim to have "lean PCOS" without insulin resistance. Women with PCOS (which is usually caused by insulin resistance) would be better at giving birth to children than women without insulin resistance. Reducing stress, improved sleep hygiene, and things like yoga, meditation have been great for lowering my testosterone If not running specifically, feeling urges to exercise on a regular basis. Now I'm starting to wonder how many of you are simply undiagnosed because some endocrinologists don Yes, those do sound like potential symptoms of insulin resistance. I'm still quite insulin-resistant. My new functional health wants that number close to 70, I'm at 40 right now. I have never been even close to overweight (usually run at very bottom end of normal BMI, occasionally slightly underweight) and have had classic PCOS driven by insulin resistance for almost 40 years. I’m still considered to have “lean PCOS”. Lean PCOS without insulin resistance : r/PCOS - Reddit true bayb33gurl. But sadly, my insulin resistance makes it difficult for me to consume carbs without it causing acne, hirsutism, and other virilization. )? Why or why not? There seems to be very few studies on lean PCOS. A new study just released on gut microbiome and polycystic ovarian syndrome (PCOS) showed some fascinating results: it showed that women with PCOS have fewer types of gut bacteria AND very different microbiomes than women who There's very little research into PCOS that isn't based on weight or insulin resistance. Summary (very basic): -1: insulin resistance -2: adrenal -3: inflammatory -4: post pill To be honest, I can't remember the exact test, and I couldn't easily find my lab results in a quick search through my email. However, my fasting sugar was slightly elevated(115) and my insulin is around 28. I am dealing with cystic acne, lots of hair loss, HS, weak brittle nails, anxiety, day time fatigue, back pain, dehydration and now feeling hopeless. I have a ton of eggs but they are low quality (28 retrieved —> 2 euploid). For anyone curious, fasting glucose is at 82 mg/dL, and fasting insulin serum is at 3. In Lean PCOS, Insulin Resistance is Often Missed, as Illustrated by This Study on the Microbiome. This… I had those same symptoms. for a PCOS diagnosis, you need to check 2 of 3 boxes: polycystic ovaries, irregular periods, high androgens. Ground Flaxseed. This sub is a safe space for LGBTQ2A+ folks. Thinking about how to manage weight while staying on metformin and low carb/low fat diet. 5 so I am not considered a diabetic. I definitely understand feeling gaslighted by doctors and family. Was on 500mg for about 15 years and was bumped up to 750mg for the past 5 years. Cannot agree more! I've given a read to many scientific articles and PCOS professionals' blogs, eventually I came to the following conclusion: neither fasting insulin+glucose (HOMA index in some cases) nor HbA1c won't be informative for testing hidden hyperinsulinemia (aka insulin resistance). insulin resistance is really, really hard to detect outside a laboratory setting. I have lean PCOS with mild insulin resistance. As soon as I changed my diet to address insulin resistance, my PCOS symptoms went to near-normal and the hypoglycemia stopped. Everyone is welcome here, you do… Slynd (Drospirenone) for “lean PCOS”, high LH and adrenal hormones w/o insulin resistance. Female 27 y. There was a study that showed women with PCOS, even if they were thin and had number is probably like mine, we're still insulin resistant, 98% of all women with PCOS. However, hair loss associated with PCOS is specifically driven by the high androgens, so usually in the short Fasting glucose and A1C may be normal, with PCOS, often the issue is caught in an OGTT. It's recommended to treat some of the symptoms of PCOS. PCOS, Weight and Metabolism / By Fiona McCulloch ND / January 28, 2018 . If you know you don’t have IR, I’d prioritize other supplements that might benefit you more, like those for inflammation or adrenal support. I’m no longer on any birth control or medication for about 5 And I've been naturally treating my PCOS since the beginning. HbA1c was also tested. I'm also lean PCOS. I have a same problem as you, i am underweight with PCOS/ insulin resistance What helped me to gain weight+ feel better was getting a personalized meal plan from a dietitian. Often it is surmised that they couldn't have pcos bc of their weight, but even these women can be insulin resistant. Treatment of IR, if present, is foundational to improving the PCOS symtoms in the longer term. Reply. most people in the western world are insulin resistant to some degree and as alicemonster. Generally anything you can do to treat the insulin resistance is likely to improve the PCOS symptoms at least to some degree. However, one problem is that most doctors do not test correctly for IR (see below), so many people don't realize they have it until it progresses to So my Dr. In my experience the usual treatments for "normal" PCOS, like spiro and metformin have also been helpful for me. General/Advice. Not a lot of doctors know about the different types of PCOS so I’m not surprised you’re having difficulties. I’ve literally had this for most of my life, even when my blood sugar wasn’t bad. Your doctor is an idiot. Here’s my reply to someone on this sub who asked why a glucose Lean pcos women are literally low end of their bmi or underweight. Many doctors refuse to run the appropriate diagnostic tests for those with normal BMI since PCOS normally presents in those with a high BMI Cannot agree more! I've given a read to many scientific articles and PCOS professionals' blogs, eventually I came to the following conclusion: neither fasting insulin+glucose (HOMA index in some cases) nor HbA1c won't be informative for testing hidden hyperinsulinemia (aka insulin resistance). wenchsenior. Additionally, my PCOS symptoms are almost all gone. Most cases of PCOS, lean or not, are driven by insulin resistance, so it's absolutely possible. In terms of diet - start by focusing on reducing things like added sugar, processed junk, and alcohol and adding healthy things like vegetables and whole carb sources like sweet potato, lentils, quinoa etc. I am very lean and do not have insulin resistance. if you have normal blood glucose and/or A1C levels they'll tell you you don't have it. I just remember my endo reviewed the normal blood test results (which included fasting glucose) and then ordered a specific follow-up test that she said was to test for insulin resistance rather than diabetes or prediabetes so that we could catch it early if needed. It first started with hairloss that I tried to fix with spirinolactone and birth control pills but it just caused a whole host of other side effects like acne and facial hair. Now I'm starting to wonder how many of you are simply undiagnosed because some endocrinologists don I am lean pcos but still have insulin resistance and not ovulating regularly. Vegetables, fruits, protein, fats and nuts aren't filling compared to carbs. Having 3 main meals + one snack between breakfast and lunch (usually apple/ strawberries + nuts). Last September, my IR was at 1. • 1 mo. The reason is that they are better able to hold onto the fat necessary without a constant intake of food for carrying a baby to term. So the conclusion is: do not trust doctors wholeheartedly, especially if they dismiss your symptoms and gaslight you. The theory is that even if youre not insulin resistant it's a hormone imbalance somewhere that causes the pcos and its symptoms and inositol may help with that. I always presumed my PCOS was cortisol related but am starting to realise it’s likely two-fold. I went to go get my fasting insulin checked recently, and it came back at 25. juri9871. What I do find discouraging is how little the treatments have changed since the 1990s metformin is more widely used now, which is great. My obgyn missed my insulin resistance for a decade because I was lean and my fasting blood sugar was normal so she never looked deeper. Pcos is a spectrum but 9/10x insulin resistance is the root of it. These super-foods include: Organ meats, fermented foods, bone broth, eggs, and cinnamon. for the past 4 days i’ve survived on a piece of cheese (1 carb and 1g of sugar per piece) and half a steak, anything else i try However in Lean PCOS the insulin is only a problem when in excess. I thought to myself well that must mean my insulin is normal too. Get the Reddit app Scan this QR code to download the app now Berberine affect on Insulin resistance and hair loss . r/PCOS. So don't assume that you are necessarily not insulin resistant, particularly since you are gaining weight on a pretty low calorie diet. Background: Polycystic ovary syndrome (PCOS) is a common endocrinopathy affecting women of reproductive age. It stops the hypoglycemia and controls my PCOS symptoms. It's a bit of a tradeoff between long term risks (worsening IR and all the health risks that go with that) and short term risks (e. Personally I have struggled with some minimal weight gain, but it was linked to disordered eating and depression rather than PCOS and insulin resistance and I can lose weight easily by following a diet and exercise like you mentioned. Having said that, LH is a bit higher than FSH. I would HIGHLY recommend r/xxketo and r/keto as a great place to get your IR under control. ago. -slow weight gain on abdomen over the past year despite falling back into eating disorder ways. this is entirely typical of classic PCOS. What really causes IR in lean people? And if the cells are resistant to insulin, where do all the fats, carbs and energy go? I mean these people are lean after all, so fats are not stored in body, so do they get out with urine? I mean people with lean pcos don’t even have weight to lose, then what to do exactly? 12 votes, 32 comments. I'm not sure if I should extrapolate results to myself when most PCOS cohorts have increased BMI and high androgens. 89. r/PCOS A chip A close button. That's the dosage most agreed upon to be effective for PCOS insulin resistance! 💗. Insulin resistance/hairloss. That’s how I got to know I’m insulin resistant, although my glucose is within normal range otherwise, so wouldn’t be possible to know without this test. Currently I take 1500mg metformin and it helps most of my symptoms (along with low carb diet and exercise). This… Ground Flaxseed. I once went about a year with no period, but for the past ~10 years it has normalized thanks to ground flaxseed. It is possible. I’ve been told it may go away when my autoimmune issue is treated. Business, Economics, and Finance. The only effect I see is this : no appetite whatsoever. insulin should be below 5 in healthy individuals, so yours is elevated. since then i’ve lost 22kg but my main concern is blood sugar, carbs, and the resistance. You’re probably over estimating your calorie consumption, if you’re not tracking it can be very easy to over/under estimate how much you’re eating. Wheat is one of the most inflammatory foods out there right now because of how we now grow it (very thick stalks) especially in the US. Specially if you are "skinny fat" and have excess of visceral fat. Hi all, I’m 35 with lean PCOS and currently going through IVF. When you're insulin resistant, your body doesn't recognise insulin immediately, so your blood sugars rise higher and you keep producing more insulin until you eventually recognise it. About 70-80% of women with pcos do have insulin resistance and 50% of women with pcos will have developed type 2 diabetes by the age of 40. The reference range is from 2-25, so yes you can be underweight/normal weight and have insulin resistance. Everyone is welcome here, you do… Insulin Resistance - Lean - Recommendations? Hi I am 5’4 and 125lbs and have PCOS symptoms (almost diagnosed). I have a variety of things wrong regarding my PCOS. Do your research and get tested privately if needed. I eat a paleo low carb diet (though I’m trying to go a little more low carb, like 30-35 net carbs per day). Common features include menstrual irregularities, hyperandrogenism and polycystic ovarian morphology although the presentation can be heterogeneous. Hi. Nov 13, 2018 · Abstract. kz pd rl ab cg qf at ot ig qh