Polycystic Ovary Syndrome (PCOS) is a common hormonal disorder that affects many women of reproductive age. It is characterized by irregular menstrual periods, excess androgen levels, and polycystic ovaries. Women with PCOS often experience symptoms such as weight gain, acne, and hair growth in unwanted areas. Managing PCOS involves a combination of lifestyle changes, dietary adjustments, and sometimes medication. Diet modification and supplements can plan an important role in managing PCOS symptoms and improving overall health.

This video describes PCOS reversal in detail 

 

In this article, we will explore some of the best supplements for PCOS, including Soy Isoflavones, Omega 3 Fatty Acids, Vitamin E, Vitamin D, Polyphenols, and Fibre. We'll also discuss dietary sources of these compounds and provide links to specific products you can purchase.

 

Soy Isoflavones

Soy isoflavones are plant-derived compounds with estrogenic activity, which can help balance hormone levels in women with PCOS. They have been shown to improve insulin sensitivity and reduce inflammation.

Dietary Sources: Soybeans, tofu, tempeh, soy milk, and edamame.

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Click to buy on Amazon: Natural Factors Soy Isoflavone Complex 50 mg

Twice a day dose sufficient along with increasing dietary Soya

Click to Read Scientific Study for Diabetes

Click to Read Scientific Study for PCOS

Click to Read Scientific Study for bones

Reduce Muscle Loss in Females with PCOD / Peri - Post Menopause 

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Click to explore Yupik Organic Soy Protein Powder 250g, 90% Protein Content, USDA Certified, Non-GMO, Vegan, Gluten-Free, Kosher, Superfood High in Iron & Copper

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Click to read Protein Leverage Hypothesis

Click to Read Scientific Study for Bones 

Click to Read Scientific Study for Muscle

Omega 3 Fatty Acids

Omega-3 fatty acids are essential fats that have numerous health benefits, including reducing inflammation, improving heart health, and potentially aiding in hormone regulation in women with PCOS.

Fish and seafood are good food sources of Omega-3, but this can be supplemented as well. It is reasonable to start with one capsule once a day with food and titrate up in consultation with a treating physician based upon biomarkers such as triglycerides, HDL, and hs-CRP in conjunction with lifestyle and dietary changes.

Vegan Option: 

 

Click to Read Scientific Study

Herbal Supplements for Weight Loss and Insulin Resistance 

Myo Inositol 

Myo Inositol / Vitamin B8 has demonstrated benefits for reducing weight, reducing insulin resistance and improving fertility in PCOS

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Click to read study for Weight

Berberine: This is a herb which stimulates AMP Kinase and reduces insulin resistance. It also has benefits for weight loss and lipid control. It also has anti inflammatory and anti oxidant properties. Berberine aids in weight loss via various mechanisms including Gut microbiome modulationDose of berberine is one 500 mg capsule thrice a day with meals ( 1.5 gms per day ) . Do Not take if already on Metformin as they work in simlar way.

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Multivitamin & Multimineral with  Antioxidants Lycopene & Lutein

Antioxidants such as Lutein and Lycopene have demonstrated benefits for liver health in animal studies. Taking a multivitamin which also contains antioxidants would be a reasonable and low risk step towards liver health. Off course once can obtain Lycopene and Lutein by consuming tomatoes and carrots. 

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Prebiotic Fibre :

Nutrients which gut microbiome requires as food or 'prebiotics' include fibre ( soluble fibre, insoluble fibre, resistant starch etc ), plant polyphenols, omega 3 and plant proteins. While these can be obtained from diet, supplements can also provide these dietary nutrients . Fibre reduces cholesterol, reduces sugar, improves metabolism by feeding gut microbiome and provides satiety through bulking effects. 

Dietary Sources: Whole grains, fruits, vegetables, legumes, and nuts. Green banana flour contains a high amount of resistant starch.

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Click to buy on Amazon: Metamucil, Daily Psyllium Husk Powder Supplement

 

Click to read study demonstrating benefits of Green Banana Resistant Starch for Fatty Liver

Click to read study published in Science Direct

Click to read study published in Nutrition Journal

 

Specific Cases:

Hair Loss

Women with PCOS can suffer from male pattern thinning of hair due to hormonal imbalances. Minoxidil 5% has been shown to help with hair regrowth and thickness. Combining it with rosemary oil, which is known for its nourishing and strengthening properties, can be particularly effective.

 

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Minoxidil 5 % hair serum

Hair thinning and male pattern baldness become increasingly common in older men and post-menopausal women. The most evidence-based scalp lotion to reverse this is 5% Minoxidil. Be sure to wash hands carefully after use, as hair growth can occur in unintended parts of the skin if hands are not washed thoroughly. Note that 2.5 % serum is often marketed for women but the scientific evidence favours that both genders should use the 5 % serum. 

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    Click to Read Scientific Study

     

    Rosemary Oil

    Rosemary Oil has been shown in one study to be as effective half dose Minoxidil (2.5%) and along with Biotin can be considered as an add on to full dose Minoxidil 5 %

    Rosemary Oil

    Rosemary Oil has been shown in one study to be as effective half dose Minoxidil (2.5%) and along with Biotin can be considered as an add on to full dose Minoxidil 5 %

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    Biotin and DHT Blocker Shampoo & Conditioner 

    While the scientific evidence for efficary of oral biotin is scant ( and it can interfere with thyroid function test results ) this can be used safely in topical form such as shampoo and conditioner.

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    Example Patterns for Calorie Cycling for Body Recomp

     

    Resistance Training 3-4 Consecutive Days a week eg Mon to Thurs

    Monday & Wednesday: Upper body Push + Core Muscles 

    Tuesday & Thursday: Upper body Pull + Lower Body

    6-12 Rep Range but up to 20 if prone to injury or frail

    4-6 Sets per session of exercise with 2 minutes rest between Sets

    Progressive Overload: Aim to increase volume ie either Reps or Weight every 1-2 weeks

    Prioritise Protein intake and consume calories approx at maintanance

    Fri, Sat, Sun: Cardio / Aerobic Exercises with Calories under 1000 kcal a day on these three days 

     

    'Exercise Snacks' at home 

    Home Resistance Training Exercise Snack:

    Mon & Wed: 2 Sets each of Upper Body Pull and Core Exercises thrice a day before meals

    Tues & Thurs: 2 Sets each of Upper Body Push and Lower Body thrice a day before meals

    Upper Body Pull: Pull Up / barbell / bicep curl / resistance band

    Upper Body Push: Push Up 

    Core: Sit Up / Crunches / Plank / Ab roller

    Lower Body: Squats / Stepper 

     

    Home Cardio Exercise Snacks:

    10 minutes cardio before breakfast ( fasted zone 2 cardio ) 

    10 minutes cardio after each meal 3 times a day 

    Walk / Eliptical / Stationary bike / skip rope / Zoomba etc 

     

    Resistance Training 3-4 Non Consecutive Days a week eg Mon / Wed / Fri

    Full body split can be done since there is 48hrs rest between sessions

    Monday / Wednesday / Friday : Upper body Push + Core Muscles + Upper body Pull + Lower Body

    6-12 Rep Range but up to 20 if prone to injury or frail

    3-4 Sets per session of exercise with 2 minutes rest between Sets

    Progressive Overload: Aim to increase volume ie either Reps or Weight every 1-2 weeks

    Prioritise Protein intake and consume calories approx at maintanance

    Tues / Thurs / Sat Cardio / Aerobic Exercises with Calories under 1000 kcal a day on these three days 

     

    'Exercise Snacks' at home 

    Home Resistance Training Exercise Snack:

    Single Set of four compound full body exercises 3 times a day, 3-4 days a week ie on 'Anabolic Days'

    Upper Body Pull: Pull Up / barbell / bicep curl / resistance band

    Upper Body Push: Push Up 

    Core: Sit Up / Crunches / Plank / Ab roller

    Lower Body: Squats / Stepper 

     

    Home Cardio Exercise Snacks:

    10 minutes cardio before breakfast ( fasted zone 2 cardio ) 

    10 minutes cardio after each meal 3 times a day 

    Walk / Eliptical / Stationary bike / skip rope / Zoomba etc 

     

    Benefits of Exercise

    Although not mutually exclusive , exercise can be categorised into types which have distinct benefits. 

    Resistance Training: Gain muscle and burn more calories at rest

    Aerobic Exercise / Cardio: Improve heart health and burn more calories during exercise

    Non Exercise Activity: Burn more calories while not actively exercising 

    HIIT Exercises: Heart Health and Longevity

    Plyometric Exercises: Best for Bone Strength 

    Isometric Exercises: Best for Blood Pressure and balance. 

    Active Sports: Heart health, longevity and bone strength

    How much should you exercise?  Minimum 1.5 hrs a week is recommended but this is a minimum. 

    I recommend dividing the week into alternate Muscle building and Fat losing days, 4 days of resistance exercise and 3 days for Cardio for instance, ideally alternating to give 48 hrs rest to the relevant muscle groups. 

    Exercise can be done in longer sessions at the gym for 45-60 minutes at a time or in the form of 'exercise snacks' at home e.g. 15 minute sessions thrice a day. 

    When doing resistance training one should aim to stimulate most target muscle groups over the group. 

    For example a person going to gym thrice a week would do a 'full body workout' while a person going six days a week may prefer a split doing different exercises alternate days, again in order to give 48 hrs rest to each muscle group for recovery.

    Exercise snack at home should also aim to use compound exercises to stimulate multiple muscle groups simultanously. 

    Examples here are generic but it is natural that males may prefer to work more on upper body and females on lower body. From a metabolic point of view it doesnt make a difference, improving muscle to fat ratio is what matters to metabolism. 

    Note: Clients with brittle bones ie osteopenia or osteoporosis much exercise with a straight back posture at all times. 

     

    Example Exercise for these Splits : 

    Upper Body Push :

    Push Ups

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    Above Shoulder Kettle Raise

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    Triceps Exercise with Resistance Bands

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    Bench Press

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    Above Shoulder Dumbell Raise

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    UPPER BODY PULL

    Pull Ups

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    Dumbell and Kettle Ball Curls 

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    Resistance Band Curls and Extensions

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    Barbell Curls

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    Core Exercises for Lower back and Abs

    Ab Rolls

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    Rows

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    Lower Body

    Leg Extensions and Flexions

    Glute Exercises

     

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    Cardio / Aerobic and Lower Body

    Skip Rope

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    Cycling

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    Walker

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    Lunges, Single Leg Squats, HIIT Workout

     

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    Increase Non Exercise Activity 

    Walking treadmill

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    Mini Eliptical

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    Under desk pedal

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    Increase Activity through Sports

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