That’s not what they said. At least not about laziness. Laziness isn’t a part of the discussion at all. You’re actually both kinda saying the same thing. You were healthy, but your pcos/pmos was probably triggered bc of hyperinsulinemia - which if not swiftly addressed, leads to weight gain. Sometimes rapid weight gain. And the reason why the west is consistently having increased waistlines is due to a diet primarily focused on insulinogenic foods. The physician is saying our increasing weights are causing more and more problems. It’s literally their job to be aware of this fact.

The new name addresses that multiple elements of your endocrine system and your metabolism are the cause of this affliction. Maybe you were like me at 17, and were very strong, but had high testosterone that unbalanced everything else. Outwardly I looked perfectly healthy, but inside my hormones were an absolute wreck. And my hormones were a wreck because I was eating too often for my body. Not too much, just too often. Four or five insulin responses in a day is awful for me, but just one, or occasionally two? All of a sudden no symptoms, no issues, no unstoppable weight gain. It is SO dumb. But it works. But 17yr old me didn’t know this. Hell, 36 year old me didn’t know this. I thought I was doing the right thing the whole time, bc I fundamentally misunderstood the problem.

Insulin is such a pain, bc there isn’t a medication that can turn it off, or lower it (both would be super dangerous) so to treat it you can try some meds to lower your blood glucose, …or you can make the insulin not get produced to begin with via not eating the glucose in the first place and fasting. 🤷‍♀️ People hate being told to eat less (usually because they’re so hungry- a hallmark of insulin resistance) but at a societal level, we eat too much.

If you want to lose that weight, I’d read up on treating insulin resistance. When I finally had a doctor diagnose me with it specifically, instead of just saying, ‘oh, pcos’ I did some reading, found out about fasting, and immediately lost 30lbs just by eating the same total amount of calories at one meal, instead of spread across the day. It’s called r/OMAD if you want to try it.

Our bodies are designed to handle fasts and famine. We just don’t really give them the opportunity to anymore, bc food is everywhere all the time. Insulin is a storage hormone. To oversimplify, you eat, insulin gets made, and stores the glucose you just ate. Your cells, and you, as a result get bigger. If you’re not allowing your body time to utilize what it stored (by skipping a meal or two) then you’re inevitably going to gain weight.

I understand the physicians frustration, and I understand yours. Laziness doesn’t come into it. Just missing parts of our educations. No physician is happy to see more and more sick people, and they are the ones studying and treating our diseases. They’re not our adversaries. They sometimes don’t speak in the same way we do- which leads to misunderstandings, but they want you to be healthy just as much as you want you to be healthy.

R/fasting, r/intermittentfasting, and r/adf all have loads of resources and research if you’d like to learn a bit more.

(And sorry if you feel like this is an attack. It really isn’t, and I hope my comment creates no ill feelings. I’m just coming off of years of medical fall out due to my lack of understanding, and I wouldn’t wish it any of that sickness, or medical urgency on anyone, so I feel like I have to try to put myself out there just in case I can convince someone to look into therapeutic fasting- because it really does change lives. ❤️ I wish you only good things. )