01/11/2025
Insulin Resistance and PCOS go hand in hand. Something I deal with in my
Practice every week. I thought I’d share my Functional Medicine approach to PCOS since it has been showing up as a theme lately - maybe a little nudge for me to share my approach:
Identifying and addressing the root causes of the condition rather than just managing symptoms is first & foremost…..
🥑Root Cause Assessment
• Comprehensive Testing:
• Hormonal panels (e.g., fasting insulin, cortisol, testosterone, LH/FSH ratio).
• Blood sugar regulation (fasting insulin, glucose, HbA1c, HOMA-IR).
• Inflammatory markers (CRP, homocysteine).
• Micronutrient status (magnesium, zinc, vitamin D, omega-3s).
• Gut health evaluation (may need to assess stool analysis, food sensitivities).
• Lifestyle Review:
• Stress levels, sleep patterns, physical activity, and dietary habits.
• Environmental Factors:
• Exposure to toxins (e.g., BPA, phthalates) and endocrine disruptors.
🥑 Personalized Nutrition
• Low-Glycemic Diet: Focus on whole, unprocessed foods to stabilize blood sugar and insulin.
• High-fiber vegetables, lean protein, healthy fats (avocado, nuts, seeds).
• Limit refined carbs, sugars, and high-glycemic fruits.
• Anti-inflammatory Foods:
• Turmeric, fatty fish (omega-3s), leafy greens.
• Nutrient Timing:
• Balanced meals to prevent insulin spikes.
• Intermittent Fasting (if appropriate): Short fasting windows may improve insulin sensitivity.
🥑 Targeted Supplements
• For Insulin Resistance:
• Inositol (Myo- & D-Chiro): Improves insulin signaling and reduces androgens.
• Berberine: Enhances glucose metabolism (similar to the Rx drug metformin).
• Chromium & Magnesium: Support glucose regulation.
• Alpha-Lipoic Acid: Improves insulin sensitivity.
• For PCOS Symptoms:
• Vitex (Chaste Tree Berry): Regulates cycles by balancing hormones.
• Omega-3 Fatty Acids: Reduces inflammation and supports hormone health.
• Vitamin D: Often low in PCOS and helps with insulin sensitivity.
🥑 Hormonal Balance
• Support adrenal health (e.g., adaptogens like ashwagandha or rhodiola).
• Address estrogen dominance if present (almost always is - so consider a DUTCH test), may need to consider Rx bioidentical progesterone, and supplements including DIM, & a diet high in cruciferous vegetables.
• Optimize thyroid function (essential for metabolic health!!!!).
🥑 Lifestyle Modifications
• Exercise:
• Resistance training and high-intensity interval training (HIIT-
My favourite), improve insulin sensitivity and metabolic function.
• Stress Management:
• Incorporate mindfulness practices, meditation, or yoga to reduce cortisol.
• Sleep Optimization:
• Prioritize 7-9 hours of quality sleep per night.
🥑 Gut Health
• Address dysbiosis with probiotics and prebiotics when required.
• Eliminate potential food sensitivities or triggers (e.g., dairy, gluten) after testing or guided elimination diets when needed.
🥑 Reduce Environmental Toxins
• Avoid endocrine disruptors like BPA, phthalates, and pesticides.
• Use clean beauty and household product - ensure you have the EWG.org Skin Deep Database app!
🥑
Ongoing Monitoring and Adjustments
• Track menstrual cycles, insulin levels, and weight changes.
• Adjust interventions based on lab results outcomes.