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AUTUMNLEAF81's Photo AUTUMNLEAF81 Posts: 693
2/3/12 7:41 P

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My insurance won't cover it. My Endo told me to go see one. I would love to really but can't afford it without my inurance. So I do as much read as possible on things. I do stay around 1200 to 1400 calories and I limit pastas and starches. I've also notice with the meds she has me on if I eat carb heavy foods now it doesn't agree with me.

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BELROSA's Photo BELROSA Posts: 697
1/31/12 1:23 A

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It sounds more like advice from a dietitian than a nutritionist.

I would be very supicious of the quality of advice from a professional to whom you had to explain PCOS. As a syndrome which affects 1:10 women at a conservative estimate, this is something that they should be aware of and understand the aetiology of. Due to the complex nature of PCOS/IR and how cutting edge a lot of the research into it is, I would strongly recommend that any professional you consult in relation to it, be a specialist in PCOS, or have a strong interest in it, such as a women's health or hormone expert.

As a nutritionist myself, I am concerned about the advice not to worry about including pasta, potatoes and breads in your diet. You don't have to completely exclude them, if you feel you need them in your diet, but you do need to understand that they are generally very high on the glycaemic index (they are very quickly turned into glucose and dumped into the blood stream resulting in huge insulin spikes), they are generally also very high in glycaemic load (the amount of carbohydrate they contain), anything grain based will have a variety of compounds in it such as lectins, gluten, gliadin etc which cause an inflammatory response of some sort in almost everyone, and in some people this can be quite severe) and lastly that there are many better choices out there which will provide more vitamins and fibre, be healthier and more filling and have less impact on your insulin and blood sugar levels.

In short, they are a poor choice and are likely to cause you difficulties. It makes more sense to avoid them whenever you can.

The blood type diet has been discredited, however, in that she is quite correct. There are many, many flaws in the hypothesis which it is based upon and in other incidental information in the book.

I have a website with loads of PCOS info www.mypcos.info Please stop by!

Leader of Managing PCOS Naturally www.sparkpeople.com/myspark/groups_i
ndividual.asp?gid=54257
LYSINGR's Photo LYSINGR SparkPoints: (98,862)
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1/30/12 11:41 P

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I have to admit that I have never gone to a nutritionist, so I'm not sure what line of advice would be normal. But I, too, would strongly disagree with your OBGYN who told you "to eat only 1,000 calories a day and forget about exercising." That is not good advice for anyone, and I think that is bad advice for a woman with PCOS. I find that exercise is a very important component of managing my PCOS.

The guidelines that your nutritionist seem reasonable. I would say give it a try and see how your body responds and feels.

 current weight: 140.0 
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MERRYROBYN's Photo MERRYROBYN Posts: 315
1/30/12 9:33 P

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The nutritionist was very nice and listened without judgement, but the official party line is "Eat less, and exercise more". Does this work for anyone out there? She at least strongly disagreed with my OBGYN who told me to eat only 1,000 calories a day and forget about exercising. She said 1,000 calories would be only if I was 4'10" and wasn't losing weight at 1,200 range. But even then, she would encourage more exercise before starvation levels.

I printed out three days menu from my SP planner plus my list of favorite foods that we normally have eaten since September.
New Goals from the Nutritionist
1). Target calorie range would be 1,200 to 1,400. This is about the same as what SP has suggested.
2). Add more exercise, a variety and add more strength training.
3). Plan ahead of time. Use the SP planner.
4). She said I can use the SP planner because I didn't have to avoid eating pasta, bread, potatoes, cereal or other type of carbs just because I have PCOS. (I did have to explain to her what PCOS is, so that wasn't comforting to me).
5). Eat every three to four hours. Eat smaller meals more often.
6). She also doesn't believe someone could permanently damage their metabolism. That once you change your habits, your metabolism will change with it. That's a hard one for me. I thought from years of poor eating habits, that my metabolism was permanently lower than normal. Is she right? Will my body change that easily?

I told her about the book Eat right for your blood type, but she just shook her head. She said it might work for some people by reducing their calories, but she doesn't believe it would work otherwise. Anyone else ever been told something else by their doctors? I heard another woman saw a specialist in PCOS and she lost weight and got pregnant within a year. Maybe I need to see someone that isn't covered by my insurance.

Edited by: MERRYROBYN at: 1/30/2012 (21:35)
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