3 Diets That Can Do More Harm Than Good for Women with PCOS, according to a Nutritionist

Polycystic Ovary Syndrome (PCOS) is a common hormonal disorder affecting women, often leading to symptoms like irregular periods, weight gain, acne, and fertility issues. While managing PCOS through diet is crucial, not all diets are beneficial. In fact, some can do more harm than good. Nutritionists warn that certain popular diets may exacerbate PCOS symptoms rather than improve them. Here’s a look at three diets women with PCOS should be cautious about. 1. Low-Carb or Ketogenic Diets The ketogenic (keto) diet, which emphasizes low-carb, high-fat eating, is a popular choice for rapid weight loss. While some women with PCOS find initial success with this diet, experts caution that it may not be a sustainable or healthy long-term solution. Why it can be harmful: PCOS is often associated with insulin resistance, and while reducing carbs can improve insulin sensitivity, the high-fat content of keto can disrupt hormonal balance. Women with PCOS need a steady source of carbohydrates to maintain stable blood sugar levels. Cutting too many carbs can lead to energy crashes, mood swings, and even exacerbate menstrual irregularities. Better approach: Instead of going extremely low-carb, opt for a balanced diet that includes complex carbohydrates from whole grains, fruits, and vegetables. These foods provide essential nutrients and help regulate blood sugar. 2. Extreme Calorie-Restriction Diets Many women with PCOS struggle with weight gain, and it’s tempting to turn to extreme calorie restriction to lose weight quickly. Diets that severely limit calorie intake can provide fast results but may have detrimental effects on overall health and hormone levels. Why it can be harmful: When the body is deprived of sufficient calories, it goes into survival mode, slowing down metabolism and increasing cortisol (the stress hormone). This hormonal imbalance can worsen PCOS symptoms, leading to increased fatigue, anxiety, and even difficulty losing weight in the long run. Better approach: Instead of drastically cutting calories, aim for a moderate calorie deficit and focus on nutrient-dense foods. Prioritize healthy fats, lean proteins, and fiber-rich carbohydrates to fuel the body without depriving it. 3. Dairy-Heavy Diets Dairy is a common part of many diets, but for women with PCOS, excessive dairy consumption can lead to hormonal imbalances. Some studies suggest that the hormones in dairy products, like estrogen and insulin-like growth factors, may worsen PCOS symptoms. Why it can be harmful: High consumption of dairy can increase insulin levels, which is problematic for women with insulin resistance—a common issue in PCOS. Additionally, dairy can trigger acne breakouts, which is already a concern for many women dealing with PCOS. Better approach: Opt for non-dairy alternatives like almond milk, oat milk, or coconut yogurt. If you do consume dairy, choose organic options and limit it to small portions to minimize hormonal interference. Final Thoughts Managing PCOS with the right diet is essential for maintaining hormonal balance and improving overall health. While some diets promise quick fixes, they can do more harm than good in the long run. Women with PCOS should avoid extreme or highly restrictive diets and focus on balanced, nutrient-rich meals that support both metabolism and hormone regulation. Consulting a nutritionist or healthcare professional is the best way to develop a personalized eating plan that addresses your unique needs. Remember, sustainable lifestyle changes are key to managing PCOS in the long term.

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