Weight Gain and Insulin Resistance in PCOS

Are all individuals with PCOS considered overweight?

The link between weight and PCOS isn’t fully understood. You can have PCOS even if you’re at a normal weight. However, most women diagnosed with PCOS are overweight or obese. While being overweight might increase the risk of developing PCOS, weight gain is also a symptom of insulin resistance, a common complication of the condition. This can create a vicious cycle if not properly managed.

What is insulin resistance, specifically?

Insulin regulates blood sugar by moving glucose into cells for energy. In insulin resistance, tissues don't respond well, leading to glucose being stored as fat, and the body compensates by producing more insulin.

How is this connected to PCOS?

High insulin levels trigger the ovaries to produce excess testosterone, disrupting follicle development and hindering normal ovulation. Women with PCOS have elevated androgen levels, which contribute to many of the condition's symptoms. Insulin resistance can also lead to weight gain, worsening PCOS symptoms since excess fat increases insulin production.

Why does being overweight matter in relation to PCOS?

The unfortunate truth is that having PCOS combined with being overweight or obese can result in serious health complications, such as:

Diabetest

Over half of women with PCOS could develop type 2 diabetes by the time they reach 40..

High blood pressure

This can affect the heart, brain and kidneys.

Abnormal cholesterol levels

Elevated levels of bad cholesterol and low levels of good cholesterol raise the risk of heart disease.

Obstructive sleep apnea

This disorder causes interruptions in breathing during sleep and increases the risk of heart disease and type 2 diabetes.

Cardiovascular disease

Women with PCOS may face a higher risk, which tends to increase as they age.

Endometrium cancer

Women with PCOS who are entering menopause or are older are at an increased risk of developing endometrial cancer (cancer of the womb lining).

How can I address the complications of weight gain and insulin resistance associated with PCOS?
Losing weight, increasing physical activity, and making healthier food choices can help reduce certain symptoms and risks associated with PCOS. Additionally, choosing supplements that target insulin resistance through various mechanisms can support effective weight management.

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