While many people with PCOS tend to have overweight or obesity, it's possible to have PCOS and a healthy body mass index, or BMI.
In women with PCOS insulin resistance is linked to postprandial thermogenesis- is the heat production due to metabolism after taking a meal that temporarily increases the metabolic rate. Slower metabolic rate means an increase in weight.
Insulin resistance: Women with PCOS are more likely to have insulin resistance, which means that their bodies have difficulty using insulin effectively to process glucose. It can lead to high blood sugar levels, which can make it more difficult to lose weight.
Insulin resistance is thought to be responsible for the hormonal and metabolic derangements observed. PCOS has two phenotypes, overweight/obese and lean, the latter being a much less common presentation of the syndrome.
Medications effective for weight loss (in addition to lifestyle modifications) that have been specifically studied in women with PCOS include metformin, acarbose, sibutramine, and orlistat (Xenical). Metformin is probably the first-line medication for obesity or weight reduction in patients with PCOS.
The PCOS belly involves the accumulation of visceral fat in the lower abdomen and typically feels firm to the touch. A PCOS belly is also characterized by a high waist-to-hip ratio of greater than 0.87 (apple body shape). However, some individuals may not experience any noticeable changes in their stomach.
PCOS belly is one symptom of this widespread syndrome. If you have a PCOS belly, it often means you are apple-shaped with a prominent fat pad around the middle of your waist. The cause is likely multifactorial and related to excess male hormones and other metabolic imbalances.
An energy deficit of about 30%, or 500-750 calories a day for a total energy intake of around 1200-1500cal/day, could be prescribed, ensuring an individualised, and nutritionally balanced diet based on healthy eating principles.
Polycystic ovary syndrome is an obesity-related condition. As such, weight-gain and obesity contribute towards the development of PCOS. However, there are also mechanisms whereby the development of PCOS can contribute towards further weight-gain and hamper efforts to establish effective weight-loss.
While these effects can benefit both men and women, intermittent fasting may be an especially useful dietary strategy for women suffering from polycystic ovary syndrome (commonly known as PCOS). Intermittent fasting for PCOS can reduce symptoms and improve fertility and other quality-of-life outcomes.
But, that doesn't mean that you have to quit your hopes of having a flat stomach, you can still lose your belly fat when you have PCOS. All you need to do is maintain a healthy lifestyle routine & proper dietary pattern.
Like any other syndrome, PCOS can involve a variety of different symptoms. One of the more common ones is abdominal weight gain, which is often referred to as the “PCOS belly.” A PCOS belly is the result of PCOS-related weight gain and may be caused by different factors.
Upon assessment, many women with PCOS describe little or no breast changes during the pregnancy, and examination reveals breasts that are tubular in shape, widely spaced, or asymmetrical.
Women with PCOS generally see the best outcomes with a low-carb, high-fat, moderate-protein diet. Getting up to 60% of calories from whole food sources of fat is a powerful way to drive weight loss and reverse insulin resistance. Achieving adequate protein intake also promotes these outcomes [19].
Saxenda® is a prescription injectable medicine that is FDA-approved for weight loss. Research has shown that higher doses of drugs like Saxenda® for at least 20 weeks leads to weight loss in obese patients with or without type 2 diabetes.
Metformin also is effective in achieving weight loss in women with PCOS. It potentiates the low-calorie diets typically used to achieve the BMI of 20 to 25 kg per m2 that is necessary for the return of ovulation. In one study of 150 obese women, a 10 percent reduction in BMI was achieved with metformin therapy.
Instead, experts recommend people looking to lose weight focus on eating more protein, vegetables, and healthy fats while reducing sugars and carbs. Many PCOS patients struggle with insulin resistance and elevated blood sugar, so making these changes can also reduce the risk of developing type 2 diabetes.
Lea Michele
The Glee star has opened up about being diagnosed with PCOS after experiencing severe acne and fluctuating weight. “The side effects [of PCOS] can be brutal — like weight gain and bad skin,” Lea shared with Health. “I went to a great doctor, and the minute she looked at me, she was like, 'Oh, you have PCOS.
You are born with PCOS, but symptoms often start during puberty although for some people this can be later, up to their early twenties. There are lots of different symptoms that can be caused by PCOS.