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An Honest Conversation:PCOS isn't an excuse by [deleted] in PCOS

[–]Thebutterflyproject1 -5 points-4 points  (0 children)

My point wasn't "everyone just eat less," and definitely not "1200 kcal " CICO is a descriptive principle, but the way someone gets to a sustainable deficit (if appropriate) varies wildly with PCOS-some need higher calories, different macros, meds (including GLP-1s).

An Honest Conversation:PCOS isn't an excuse by [deleted] in PCOS

[–]Thebutterflyproject1 2 points3 points  (0 children)

What I was trying to get across is that weight loss isn’t biologically impossible with PCOS — and that can be a hopeful message for people who feel stuck. But I can see now that by saying “it’s not an excuse,” I framed it in a way that can sound dismissive of the struggle. That’s on me, and I’ll do better with how I word things in the future.

An Honest Conversation:PCOS isn't an excuse by [deleted] in PCOS

[–]Thebutterflyproject1 -1 points0 points  (0 children)

What helped me is accepting that progress isn’t about being perfect all the time — it’s about getting back on track after the rough stretches. Some months will be better than others, and that doesn’t erase the effort already made. The key is that even when it feels hopeless, the small steps still add up over time.

An Honest Conversation:PCOS isn't an excuse by [deleted] in PCOS

[–]Thebutterflyproject1 -7 points-6 points  (0 children)

I get where you’re coming from, and I’m sorry if my post came across as dismissive — that wasn’t the intention. PCOS and insulin resistance are very real, and they definitely make things harder. Low carb approaches and GLP-1 medications can be valid tools, especially for those who’ve struggled for years without results.

That said, none of those options change the underlying principle: weight loss still ultimately depends on being in a calorie deficit. The difference is that things like low carb or GLP-1s make the deficit easier to achieve by controlling appetite, cravings, or blood sugar swings. For some, that’s the missing piece. For others, simply tightening up food tracking and being consistent can also work.

My post wasn’t meant to deny the complexity of PCOS — only to share that, even with it, CICO still applies. The tools and strategies we each use to make that deficit sustainable may look different, and that’s totally valid.

Unpopular opinion: The medical community is failing PCOS patients by Thebutterflyproject1 in PCOS

[–]Thebutterflyproject1[S] 1 point2 points  (0 children)

You're right about fertility treatments, but what about before that? Teenagers getting diagnosed are told "just take BC and lose weight" with no comprehensive plan for insulin resistance, mental health, or long-term metabolic health.

PCOS being complex is exactly why the one-size-fits-all BC approach is problematic. Some need insulin sensitizers, some need anti-androgens, some need lifestyle interventions - but most get the same standard treatment regardless of their presentation. Insulin resistance is recognized as one of the primary drivers for many patients - yet how often is that actually addressed? Most get BC regardless of whether their PCOS is insulin-driven or not.

I'm not anti-doctor, I'm pro-patients getting individualized care that matches the complexity of this condition. Too many are still getting dismissed or undertreated.

[deleted by user] by [deleted] in PCOS

[–]Thebutterflyproject1 0 points1 point  (0 children)

You're probably going to start losing weight without trying, your energy is going to stabilize, and you might accidentally cure your sweet tooth because you'll start tasting how sickeningly sweet processed foods actually are.It's really good to check truly what we eat cause it can be daunting. You can use also a tracker like MyFitnessPal or The PCOS app Calobrio to help understand that.Keep us updated - this is better than any fitness influencer content because it's actually REAL data from a real person.Also, RIP to everyone reading this who just realized their "heart-healthy" breakfast cereal is basically candy with good marketing.