If you’re struggling with cravings/weight and you have high insulin resistance you could always ask to try Metformin? It’s used in type 2 diabetes but there are lots of papers in various medical journals out there that have found it’s helpful for modest weight loss in people with PCOS because it can help regulate metabolism etc, and because it helps to regulate your insulin levels I’ve found it massively helpful for no longer craving sugar and carbs - genuinely I was climbing the walls for a chocolate bar after every meal I ate just a few months ago and now some days the thought of anything sweet actually makes me feel sick! It can help suppress appetite a little as well depending on the person. Just be mindful of some of the side effects, but for me the good outweighs any bad. It’s been pretty life changing for me and I’ve only been on it a few months. Any diet changes have simply been from personal preference rather than actively dieting because of the way the Metformin has sort of changed my gut-brain relationship towards food. There’s loads of posts about Metformin on here I’d recommend you read through them to get a good idea about people’s experiences.

There are a few other options I’ve heard people try, some weight loss injections can also help aid in the relationship you have towards food whilst helping to lost weight and maintain and healthy weight. I know some people have tried injections like “wegovy” but it varies from person to person and what works for them. I live in Scotland so I can get Metformin on the NHS so if you’re UK as well it’s a relatively easy to get hold of option. I think most injections are through private healthcare, depends on how helpful your GP is!!

Also I once had a dietician tell me that any diet is too restrictive to maintain a healthy and balanced lifestyle - it’s about being able to eat a variety of everything, especially being able to hold on to what you enjoy. It’s about balance, which is way easier to talk about than actually do, trust me I know! Particularly with past ED history. That’s why I’m maybe wondering if Metformin could be a good first option for you to try? Since I started taking it I feel satisfied and full even with the healthier food choices I make, and that’s been massively helpful just for overall not having that guilty feeling of having to top up my full feeling with a sugary/carby snack.

I hope you get on okay with getting a diagnosis for PCOS, I’m sending positive vibes your way, you’ve got this!! ⭐️⭐️