For (many) decades i have jumped through all the weight loss / insulin resistance ever changing "guidance" (healthcare hectoring ...without success for me).
Turns out, I now discovered (over the last 3 months) what actually makes a positive difference for me: is following a lower (130 g per day) carbohydrate diet (1/4 plate not the "Eatwell Plate" 1/3 of your plate).
This is helping my weight, skin, blood sugar and lipid levels - for the first time. I have also been advised to take a daily over the counter vitamin D tablet (which has improved and stabilised my level too).
I still eat plenty of vegetables and some fruit (fruit mostly with a meal to buffer the glycaemic index impact), am mindful to eat wholegrain / wholemeal versions of carbohydrate and actively choose high fibre breakfast etc.
I have diligently tried the restricted calories and ultra-low fat over the years - neither of those were the keys for me.
The bonus is that; a low Carbohydrate diet is also liver health friendly (important as some of the liver's circa 500 jobs include functions involved in PCOS - the liver is not just about filtering out toxins. Anything you can do to support your liver health is a worthwhile investment e.g. a couple of coffees in the morning gets approval and as little alcohol as possible (ideally none) too.
I found one Berkshire Hospital had produced a comprehensive PCOS patient leaflet (which makes for supportive reading) on the carbohydrate angle:
google.com/url?sa=t&source=...
PCOS has a lifelong impact on our bodies (including post-menopausal) - however, that does not mean we are short of contents for our toolkit for tackling our body's PCOS tendencies and impacts - it takes always being mindful of what best supports your body (and wellbeing). Learning about and step-by-step layering in nee healthy habits is our self-care requirement.
I will admit: I am still a work in progress ...for example; I am still trying to rediscover enjoying getting more exercise (nobody is perfect!).
Perhaps 2025 will help me unlock my goals re: moving more. Anyone tried using sports resistance bands at home? Got any links to good YouTube videos or patient physio leaflets?